Martin Jan Pryor, D.O., M.P.H.

Primary specialty

Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X

License

2012033013 Issued in MO

Practice address

315 S. Osteopathy Street
Attn: Gme
Kirksville, MO 63501-0491

Phone

(808) 203-7019

NPI assigned

May 22, 2012

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Interoperability endpoints

• Direct secure messaging: jan.pryor.1@8078.direct.athenahealth.com

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1337644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373500800000",
    "number": "1831459940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 491",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635010491",
            "telephone_number": "808-203-7019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 S. OSTEOPATHY STREET",
            "address_2": "ATTN: GME",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635010491",
            "telephone_number": "808-203-7019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRYOR",
        "first_name": "MARTIN",
        "middle_name": "JAN",
        "name_prefix": "Dr.",
        "credential": "D.O., M.P.H.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-22",
        "last_updated": "2013-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "MO",
            "license": "2012033013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Preferred Family Healthcare, Inc.
• Preferred Family Healthcare, Inc.
• Preferred Family Healthcare, Inc.
• Preferred Family Healthcare, Inc.
• Colleen Ann Primmer, LPC
• Haley Przespolewski
• Justin David Puckett, DO
• Jillian Jo Pulis, M.A., CF-SLP
• Aliziya Amin Punjwani
• Syed Mohammed Ali Qadri, DO

• All providers in Kirksville, MO
• Neuromusculoskeletal Medicine & OMM Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.